Healthcare Provider Details

I. General information

NPI: 1295397024
Provider Name (Legal Business Name): MADELINE A VANHORN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADDY VANHORN

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 COMMERCE DR
PERRYSBURG OH
43551-5267
US

IV. Provider business mailing address

343 W BAGLEY RD
BEREA OH
44017-1370
US

V. Phone/Fax

Practice location:
  • Phone: 419-330-1349
  • Fax:
Mailing address:
  • Phone: 440-260-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2606988
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberART.26000004
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: